Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $120.88 / $376.62	Facility		$120.71	$120.88	$376.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $120.88 / $141.80	Professional		$117.36	$120.88	$141.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $255.96 / $487.73	Facility		$136.33	$255.96	$487.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $150.88 / $335.88	Facility		$117.36	$150.88	$335.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $120.71 / $140.83	Professional		$117.36	$120.71	$140.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $134.76 / $134.96	Professional		$133.94	$134.76	$134.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $119.72	Professional		$117.36	$117.36	$119.72